Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,466.84 / $11,481.54	Facility		$1,258.93	$4,466.84	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $4,466.84	Professional		$1,698.24	$2,238.72	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $25,703.96 / $48,977.88	Facility		$21,379.62	$25,703.96	$48,977.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $4,365.16	Professional		$2,691.53	$3,715.35	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $15,135.61 / $19,498.45	Facility		$4,677.35	$15,135.61	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $4,168.69	Professional		$1,862.09	$2,754.23	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,981.07 / $9,772.37	Professional		$2,290.87	$3,981.07	$9,772.37
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $3,162.28	Professional		$2,238.72	$2,691.53	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,570.40	Professional		$32.36	$33.11	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $28,840.32	Facility		$1,995.26	$8,128.31	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,265.80	Professional		$1,737.80	$2,398.83	$4,265.80